Qualitative and quantitative evaluation of acute angle-closure mechanisms.

Qualitative and quantitative evaluation of acute angle-closure mechanisms.
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DOI:
10.1186/s12886-017-0635-8
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发表时间:
2017-12-11
期刊:
影响因子:
2
通讯作者:
Teekhasaenee C
Teekhasaenee C
中科院分区:
医学4区
文献类型:
--
作者:
Suwan Y;Jiamsawad S;Tantraworasin A;Geyman L;Supakontanasan W;Teekhasaenee C

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评估不同类型急性房角关闭患者的眼生物特征参数,并与AAC和PACS眼的对侧眼进行比较。这是一项回顾性病历审查研究。共招募了167只眼(96例患者),包括71只AAC眼、71只AAC对侧眼和25只PACS眼。所有患者均接受眼部检查和生物测量。超声生物显微镜证实了AAC的作用机制。然后,我们将AAC眼分为四个亚组:拥挤角(CR)、透镜半脱位(LS)、瞳孔阻滞(PB)和高原虹膜综合征(PL)。结果变量包括前房深度(ACD)、透镜厚度(LT)、玻璃体长度(VL)、眼轴长度(AL)、透镜位置和相对透镜位置(分别为LP和RLP)以及透镜眼轴长度因子(LAF)。在三组中,AAC眼的ACD比AAC和PACS眼的对侧眼浅(两者均p < 0.01),AAC眼表现出更小的LP和RLP。三组之间的LT、VL、AL和LAF无显著差异。在四个亚组中,LS显示出最浅的ACD(p = 0.01)。PL的透镜位置大于CR和LS(分别为p < 0.05和p <0.01)。AAC眼的透镜位置比对侧眼和PACS眼更靠前,但各组之间的透镜厚度没有差异。因此,与透镜厚度相比,前透镜位置可以提供关于AAC的未来发展的更敏感的预测。
To evaluate ocular biometric parameters in different subtypes of acute angle closure and compared to fellow eyes of AAC and PACS eyes. This is a retrospective chart review study. A total of 167 eyes (96 patients) consisting of 71 AAC eyes, 71 fellow eyes of AAC, and 25 PACS eyes were recruited. All patients underwent ocular examination and biometry. The mechanism of AAC was confirmed by ultrasound biomicroscopy. We then subdivided AAC eyes into four subgroups: crowded-angle (CR), lens subluxation (LS) pupillary block (PB), and plateau iris syndrome (PL). Outcome variables included anterior chamber depth (ACD), lens thickness (LT), vitreal length (VL), axial length (AL), lens position and relative lens position (LP and RLP, respectively), and lens axial length factor (LAF). Among the three groups, ACD was shallower in AAC eyes than fellow eyes of AAC and PACS eyes (p < 0.01 for both) and AAC eyes demonstrated a lesser LP and RLP. The LT, VL, AL, and LAF were not significantly different among the three groups. Among the four subgroups, LS displayed the most shallow ACD (p = 0.01). The lens position in PL was greater than in CR and LS (p < 0.05 and <0.01, respectively). AAC eyes had a more anterior lens position than fellow eyes and PACS eyes, though lens thickness did not differ among the groups. As such, an anterior lens position may offer more sensitive prognostication regarding future development of AAC compared to lens thickness.
DOI: 10.1371/journal.pone.0118811
发表时间: 2015-02-17
期刊: PLOS ONE
影响因子: 3.7
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发表时间: 1973-01-01
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发表时间: 1992-04-15
影响因子: 4.2
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DOI: 10.1097/01.ijg.0000212212.10395.76
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影响因子: 2
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